Nursing homes have heard the warnings and been advised at every turn lately. Now, it's time to do it right, or risk losing out on reimbursements. Significant changes have been made to the new MDS 3.0 form go into effect Sunday. After then, ignorance of new provisions will start costing providers, experts warn. Discharge procedures, as well as resident interviews, are two of the top areas with the most notable changes. Providers have been advised to simply get new RAI manuals if they can, rather than to try to incorporate the multitude of revised or new pages.